What are the chances of hematoma 6 weeks post-op breast augmentation?

Question

I am now 6 weeks and some days post op sub muscular high profile breast augmentation 385cc, i feel great, I'm healing up nicely, i want to start upper body workout with biceps and triceps now, per my MD it would be okay by 6 weeks. But my question is what are the risks of a hematoma at this point of time? i don't want to mess anything up. Any recommendation on what the maximum weights i should be carrying? Thanks!

Daniel Barrett, MD · Answer

Dear megancannova,most plastic surgeons recommend patients to wait 6 weeks before starting with exercises. At this point, the risk of hematoma is low. But every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Martin Jugenburg, MD · Answer

Thank you for your question. Please follow the post op instructions given to you by your PS as he/she knows your case best. If you are concerned about lifting weights, please speak to your PS for more specific instructions. You are not at risk for a hematoma at this time.

Kevin Brenner, MD, FACS · Answer

It would be very unusual....although not entirely impossible....to develop a hematoma 6 weeks following breast augmentation surgery. I usually recommend that my patients wait a minimum of six weeks before initiating any aggressive upper body exercise after breast augmentation.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. Aside from forceful impact and injury to the breast, resuming regular activity at 6 weeks post op is standard and should not cause you to be at risk of a hematoma. If you aren't sure about activities you are cleared for, ask your surgeon.All the best

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question.  Although post operative instructions do vary from one plastic surgeon to another, my advice is to lift nothing greater than 15 pounds for a full 4 weeks after a breast augmentation procedure and that walking during this time is permissible.  Best to follow the specific instructions given to you by your plastic surgeon.  Good luck.

William Andrade, MD · Answer

Thanks for your question.  It's good that you've discussed your activity goals with your surgeon, because only they can properly assess your healing and make sure that it is safe to resume regular exercise.  Usually by 6 weeks my patients are able to return to vigorous physical activity, and the risk of injury is low.  However, I vary my recommendations based on each person's healing progress.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Hematomas at this point are uncommon. I have a couple of triple crown body builders. At 6 weeks, I advise them to start light and give themselves 2 weeks to return to their original workout weights.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Pejman Aflaki, MD · Answer

Hello and thank you for the question. It's best to follow your surgeon's advice. In general, at 6-8 weeks after breast augmentation, you should be able to resume pretty much all activities, including heavy lifting without much risk of doing any harm. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon

Tim Sayed, MD, MBA, FACS · Answer

Hematomas after breast augmentation are most likely to occur in the first two weeks (and particularly in the first 72 hours). It would be rare, even with resumption of exercise, to develop a hematoma at 6 weeks. However, wound disruption, muscle distortion of the implant position, and other issues might develop with excessive exertion so be sure to follow your surgeon's guidelines closely.

Gary L. Ross, MBChB, FRCS · Answer

It would be very rare to have a haematoma at this stage. Obviously best to start with light weights and build back up and also best to wear a support bra initially.

What are the chances of hematoma 6 weeks post-op breast augmentation?

Answers (17)

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